NUR 203 EXAM 3 | QUESTIONS AND ANSWERS |
2025/2026 UPDATE | WITH COMPLETE SOLUTION
what position should the client be in to palpate the spleen? Answer - ride-side
lying (this moves the spleen down and forward)
what position should the client be in while to inspect the abdomen? Answer -
supine with arms at sides or folded across chest
what suggests an abdominal aneurysm? Answer - abdominal bruit
what does a prominent pulsating mass above the umbilicus signify? Answer -
abdominal aortic aneurysm
where do you feel pain associated with gallbladder? Answer - RUQ with
referred pain in right shoulder
where do you feel pain associated with pancreas? Answer - epigastric pain,
with referred lower back pain
concerning symptoms of dehydration Answer - thirst, diaphoresis,
vomiting/diarrhea
,concerning signs of dehydration Answer - short term weight loss, dry mucous
membranes/eyes, sunken eyes, decreased skin turgor, fever, decreased mental
status ****decreased BP, increased pulse rate****
contributing factors to dehydration Answer - inability to drink, decreased
mobility, exposure to excessive heat, exercise in heat, older age, medications,
burns, hemorrhage
concerning signs of overhydration Answer - edema, fine crackles in lungs,
confusion ****high BP, low pulse rate or bounding pulse****
contributing factors to overhydration Answer - heart failure, kidney failure,
liver disease, increased sodium, too much IV fluid
how to assess hydration Answer - history findings, integumentary assessment,
BP and pulse, vein filling, urine output, urine specific gravity, lung sounds,
mental status
dehydrated urine specific gravity Answer - higher, more concentrated liquid
overhydrated urine specific gravity Answer - lower, less concentrated
what causes imbalanced nutrition? Answer - less than body requirements or
more than body requirements
causes of imbalanced nutrition Answer - physical disease related, mental
health issue, socioeconomic problem, mobility problem
components of nutrient assessment Answer - history, physical exam,
anthropomorphic data
, external anatomy of breast Answer - 4 quadrants (upper inner, upper outer,
lower inner, lower outer)
internal anatomy of breast Answer - glandular tissue, fibrous tissue, fatty tissue
lymph nodes Answer - supraclavicular, infraclavicular, lateral, central,
subscapular (posterior), pectoral(anterior), internal mammary
stage 1 breast development Answer - child; elevated nipple
stage 2 breast development Answer - beginning of puberty; breast budding;
small mound
stage 3 breast development Answer - further enlargement; no separation of
breast contours
stage 4 breast development Answer - areola and nipple form secondary
mound
stage 5 breast development Answer - nipple flattens
male breast Answer - thin flat disk of glandular tissue, smaller nipple, areolar is
smaller, cancer is rare but can happen
gynecomastia Answer - enlargement of breasts in males, can occur in
newborns (exposure to mothers hormones) and adolesants (hormones of
puberty) and elderly males (hormone levels decreasing, hormone meds)
2025/2026 UPDATE | WITH COMPLETE SOLUTION
what position should the client be in to palpate the spleen? Answer - ride-side
lying (this moves the spleen down and forward)
what position should the client be in while to inspect the abdomen? Answer -
supine with arms at sides or folded across chest
what suggests an abdominal aneurysm? Answer - abdominal bruit
what does a prominent pulsating mass above the umbilicus signify? Answer -
abdominal aortic aneurysm
where do you feel pain associated with gallbladder? Answer - RUQ with
referred pain in right shoulder
where do you feel pain associated with pancreas? Answer - epigastric pain,
with referred lower back pain
concerning symptoms of dehydration Answer - thirst, diaphoresis,
vomiting/diarrhea
,concerning signs of dehydration Answer - short term weight loss, dry mucous
membranes/eyes, sunken eyes, decreased skin turgor, fever, decreased mental
status ****decreased BP, increased pulse rate****
contributing factors to dehydration Answer - inability to drink, decreased
mobility, exposure to excessive heat, exercise in heat, older age, medications,
burns, hemorrhage
concerning signs of overhydration Answer - edema, fine crackles in lungs,
confusion ****high BP, low pulse rate or bounding pulse****
contributing factors to overhydration Answer - heart failure, kidney failure,
liver disease, increased sodium, too much IV fluid
how to assess hydration Answer - history findings, integumentary assessment,
BP and pulse, vein filling, urine output, urine specific gravity, lung sounds,
mental status
dehydrated urine specific gravity Answer - higher, more concentrated liquid
overhydrated urine specific gravity Answer - lower, less concentrated
what causes imbalanced nutrition? Answer - less than body requirements or
more than body requirements
causes of imbalanced nutrition Answer - physical disease related, mental
health issue, socioeconomic problem, mobility problem
components of nutrient assessment Answer - history, physical exam,
anthropomorphic data
, external anatomy of breast Answer - 4 quadrants (upper inner, upper outer,
lower inner, lower outer)
internal anatomy of breast Answer - glandular tissue, fibrous tissue, fatty tissue
lymph nodes Answer - supraclavicular, infraclavicular, lateral, central,
subscapular (posterior), pectoral(anterior), internal mammary
stage 1 breast development Answer - child; elevated nipple
stage 2 breast development Answer - beginning of puberty; breast budding;
small mound
stage 3 breast development Answer - further enlargement; no separation of
breast contours
stage 4 breast development Answer - areola and nipple form secondary
mound
stage 5 breast development Answer - nipple flattens
male breast Answer - thin flat disk of glandular tissue, smaller nipple, areolar is
smaller, cancer is rare but can happen
gynecomastia Answer - enlargement of breasts in males, can occur in
newborns (exposure to mothers hormones) and adolesants (hormones of
puberty) and elderly males (hormone levels decreasing, hormone meds)
